1. / An ED Company Leverages Automation to Improve Audit Efforts by 50%
Overview

One of the major challenges plaguing emergency department (ED) companies is revenue collection. For firms that provide ED services across multiple locations, maintaining a consistent and high-throughput coding and billing process is of utmost importance. The customer wanted to improve quality and reduce clinical document deficiency by automating ED coding and establishing a seamless workflow across all six sites they were operating in.

Problem

In offering their niche skills of ED services, the client was facing complexities in:

  • Establishing consistent quality of coding efforts and a standardized workflow across its sites
  • Increasing coding and billing accuracy and reducing time
Solution

Apexon leveraged the ApexED solution to automate the generation of claims in a secure application and created a workflow that provides meaningful recommendations. The client was able to: 

  • Automate the end-to-end ED coding process – level of service, CPT, MIPS, modifiers, ICD1O coding – with greater accuracy and lesser time
  • Implement workflow management to reduce licensing cost of PMS applications and enhance security
  • Integrate audit modules with the executive dashboard for quality assurance and performance enhancement
Impact

The secure and anytime-anywhere ApexED platform helped the client score on many fronts:

  • 40% savings in FTE and related costs of training
  • 60% reduction in turnaround time
  • 3-5% improvement in overall quality 
  • 40-50% decrease in audit efforts
  • 10-15% reduction in denials
  • Vast improvement in first-pass payment ratios

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